Director, Partner Practice (South Florida)

CenterWell

6d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Director, Partner Practice develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Director, Partner Practice requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This is a Southern Florida Hybrid Home/Office role The Director, Partner Practice Engagement develops and grows positive, long-term relationships with physicians, clinicians and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Director, Partner Practice Engagement requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Partner Practice Engagement represents the scope of health plan/practice relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to practice and clinician performance, patient experience, market growth, practice and clinician experience and operational excellence. Decisions are typically related to the development and implementation of new/updated programs or large-scale projects; development of market level operational plans; implementation of strategic plans, performance management of partner practices and market team. Provides input into functions strategy.

Requirements

• Bachelor’s degree
• A minimum of eight years of progressive experience in provider network management, provider contracting, quality
• A minimum of five years formal leadership experience; overseeing multiple direct reports
• Prior work experience in value-based care; practice management and/or payer contracting with demonstrated success directing and leading teams
• Proven ability to cultivate relationships and create partnership opportunities with health plans and community organizations
• Extensive knowledge of local market provider landscape
• Outcomes focused individual that thrives on outperforming against quantifiable goals
• Experience working across a segmented business to align partners towards a common goal
• Strong verbal and written communication skills with the ability to comfortably and effectively communicate with a variety of internal & external business leaders
• Comprehensive knowledge of all Microsoft Office applications

Nice To Haves

• Master's Degree
• Proficiency in quality improvement science, techniques / processes, analyzing and interpreting financial and clinical trends

Responsibilities

• Manage market engagement teams to drive outcomes to achieving all revenue and quality/clinical performance targets.
• Drive a consistent service experience with the MSO across the engagement lifecycle, from first communication with the practice.
• Lead the affiliate market team with an eye to develop and maintain a strong team culture, uphold company values and create strong team engagement.
• Guide the team in developing individual practice action plans to optimize performance and operations.
• Cultivate in-depth relationships with practices and regional partners through regular status calls and in-person meetings to set priorities, report performance results, monitor utilization and costs and identify opportunities for growth and savings.
• Lead the on-boarding and implementation of new practices and plan for success.
• Partner with MSO growth leadership to support local expansion of the affiliate network with a strong service offering to all customer segments.
• Serve as a bridge between the market team and MSO leadership to communicate concerns, needs and feedback.
• Provide regular performance reporting to MSO Operations leadership
• Achieve high partner practice retention and satisfaction
• Perform other duties and special projects as requested by the leadership team.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director